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Contact Information

MOHAN NUTHAKKI, MD
6 GLEN COVE DR
ROCKPORT, ME04856-4272
 Phone: 207-301-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOHAN NUTHAKKI · (Male)

NPI # 1336331388
Status Active
Credentials MD
Entity Individual
Enumeration date 08/14/2007
Last updated 06/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD24746
  • OH License # 060174
  • OH Medicaid 0167555
  • OH Medicaid 0795797
  • OH Other 000000756487 ANTHEM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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